武汉市婴幼儿呼吸道感染与家人吸烟的关系

为了分析武汉市婴幼儿 (0～ 3岁 )呼吸道感染与家人吸烟的关系 ,探讨婴幼儿被动吸烟、母亲孕期、哺乳期被动吸烟对婴幼儿呼吸道感染的影响 ,采用非匹配的病例对照研究 ,于 2 0 0 2年 6～ 7月在武汉市 5家医院儿科门诊随机抽取病例及对照 3 0 9名 (病例组 15 0名 ,对照组 15 9名 ) ,由培训过的调查员采用调查问卷进行调查 ,收集到的资料采用卡方检验 ,非条件的 L ogistic回归进行分析。结果 :家人有无吸烟 (P<0 .0 0 0 1)、家人吸烟对幼儿的回避程度 (P=0 .0 0 18)、母亲怀孕期间被动吸烟 (P<0 .0 0 0 1)及母亲哺乳期间被动吸烟 (P<0 .0 0 0 1)对幼儿的呼吸道感染有显著的不良影响 ,趋势检验有显著性 (P<0 .0 0 0 1) ,对 1岁以内的幼儿的影响要大于 1岁以上 3岁以内的幼儿。提示 :幼儿被动吸烟以及其母亲怀孕、哺乳期间的被动吸烟对幼儿的呼吸道感染均有显著的不良影响 ,尤其对 1岁以内幼儿的影响更为明显

Investigation on the relationship between the infants and children''''s respiratory infection and their family smoking

By analyzing the relationship between the infants and children's respiratory infection and their family smoking to study the risk factors of passive smoking of infants and children, pregnant women and breast feeding women on the infants and children's respiratory infection. With non matching cases control research, the 309 infants and children (150 were cases group, 159 were control group) in the department of pediatrics of five hospitals in Wuhan city from June to July 2002 were selected by random sampling and investigated by questionnaire. The collection data were analyzed by χ 2 test and non qualification Logistic regression. The results showed that the family smoking ( P <0.000 1), the obviating extend of the family smoking to the children ( P =0.001 8), the passive smoking of pregnant women ( P <0.000 1) and the passive smoking of breast feeding women ( P <0.000 1) have the significant adverse effect on the children's respiratory infection, the tendency test has significant value ( P <0.001). The adverse effect on the infants within 1 year old was greater than that of the children from 1 to 3 years old. It suggested that the passive smoking of the children, pregnant and breast feeding women have significant adverse effect on the infants and children's respiratory infection, especially the infants within 1 year old.